Mackenzie Dougherty, RD, CD
Registered Dietitian · Saint Paul, MN
Mackenzie Dougherty, RD, CD is a registered dietitian with a practice address in Saint Paul, Minnesota, and NPI 1053612283, issued on Nov 4, 2010. Check the license (Minnesota 3882, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Mackenzie Dougherty
- Credential
- RD, CD
- Primary taxonomy
- Registered Dietitian 133V00000X
- License number
- 3882 MN
Self-reported in NPPES; status is on the state search - Practice location
- 2265 Como Ave, Saint Paul, MN 55108
- Phone
- (651) 645-5323
- Enumerated
- Nov 4, 2010
- Record last updated
- Mar 17, 2018 (not updated in 8 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20180418001422); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 2265 Como Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Sarah Alness Olson, PSYDPsychologist1972388577
- Julie Alsum, LICSWClinical Social Worker1811444136
- Aimee Arikian, PH.D., LPClinical Psychologist1477990570
- Kiersten BakkeClinical Social Worker1235011735
- Amy BarkleyStudent in an Organized Health Care Education/Training Program1962030759
- Abigail BassierRegistered Dietitian1578363719
Verify Mackenzie Dougherty in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license 3882Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- University OF Minnesota PhysiciansMinneapolis, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
135 registered dietitian records list a practice address in Saint Paul
They are 135 of the 10,084 NPPES records with a practice address in Saint Paul, and 1,590 registered dietitian records in Minnesota.
All 135 in Saint Paul → All 1,590 in Minnesota → Every provider in Saint Paul →
Other registered dietitian records in Minnesota
- Nuha Abdelrahim, RDNCoon Rapids, MN1124723671
- Angela Adams, RD, LDCoon Rapids, MN1003764465
- Kelly Adams, MS, RDN, LDShoreview, MN1457044356
- Kelsey Ahlers, MS, RD, LDFaribault, MN1174943716
- Lindsey Ahlert, RDNowthen, MN1023757671
- Shahreen AhmedPlymouth, MN1891669503
- Analisa Ahrens, RD, LDSaint Paul, MN1235878836
- Elizabeth Akerson, RDMinneapolis, MN1801307434
- Andrew Akhaphong, RD, LDWaconia, MN1356792444
- Monika Albeck, RDMinneapolis, MN1013973114
Common questions
What is Mackenzie Dougherty, RD, CD's NPI number?
Mackenzie Dougherty, RD, CD's National Provider Identifier (NPI) is 1053612283, issued on Nov 4, 2010. An NPI identifies a provider in billing; it is not a license.
Where is Mackenzie Dougherty, RD, CD located?
The NPPES record lists a practice address at 2265 Como Ave, Saint Paul, MN, 55108. Phone: (651) 645-5323. Providers update this record themselves, so call before visiting.
How can I verify Mackenzie Dougherty, RD, CD's license?
NPPES lists Minnesota license number 3882, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.